Endocrinology Vol. 139, No. 10 4155-4163
Copyright © 1998 by The Endocrine Society
A Protective Role for Heme Oxygenase Expression in Pancreatic Islets Exposed to Interleukin-1ß1
Jing Ye2 and
Suzanne G. Laychock
Department of Pharmacology and Toxicology, School of Medicine and
Biomedical Sciences, the State University of New York, Buffalo, New
York 14214
Address all correspondence and requests for reprints to: Dr. S. Laychock, 102 Farber Hall, the State University of New York at Buffalo, School of Medicine, Buffalo, New York 14214. E-mail:
laychock{at}acsu.buffalo.edu
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Abstract
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Heme oxygenase (HO)-1 expression was investigated in rat isolated
pancreatic islets. Freshly isolated islets showed no evidence of HO-1
expression. After a 20-h culture, there was a small increase in HO-1 in
control islets, and interleukin-1ß (IL-1ß) induced HO-1 expression
above control levels. NG-monomethyl-L-arginine
inhibited the IL-1ß-induced increase in HO-1. Sodium
nitroprusside-generated nitric oxide also increased HO-1 expression.
CoCl2 induced a concentration- and time-dependent
increase in HO-1, but not heat shock protein 70, expression. Cobalt
chloride (CoCl2) protected islets from the inhibitory
effects of IL-1ß on glucose-stimulated insulin release and glucose
oxidation. Nickel chloride did not mimic the effects of
CoCl2. An inhibitor of HO-1 activity, zinc-protoporphyrin
IX (ZnPP), prevented the protective effect of CoCl2 on
insulin release with IL-1ß but did not affect HO-1 expression or the
inhibitory response to IL-1ß alone. ZnPP also inhibited the
protective effect of hemin in IL-1ß-treated islets. CoCl2
inhibited the marked increase in islet nitrite production in response
to IL-1ß. Cobalt-protoporphyrin IX (CoPP), which increased HO
expression and activity, also protected islets from the inhibitory
effects of IL-1ß, even though IL-1ß largely blocked the
CoPP-induced increase in HO-1 expression. In ßHC9 cells,
CoCl2 increased HO-1 expression and HO activity, whereas
CoPP directly activated HO. ZnPP inhibited basal and
CoCl2-stimulated HO activity. Thus, increased HO-1
expression and/or HO activity in response to CoCl2, CoPP,
and hemin, seems to mediate protective responses of pancreatic islets
against IL-1ß. HO-1 may be protective of ß-cells because of the
scavenging of free heme, the antioxidant effects of the end-product
bilirubin, or the generation of carbon monoxide, which might have
insulin secretion-promoting effects and inhibitory effects on nitric
oxide synthase.
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Introduction
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HEME oxygenase (HO) [heme,
hydrogen-donor:oxygen oxidoreductase (
-methene-oxidizing,
hydroxylating), EC 1.14.99.3], also known as heat shock protein
(hsp)32, is a membrane-bound enzyme responsible for catalyzing heme
degradation. HO uses dioxygen and nicotinamide-adenine dinucleotide
phosphate as cofactors, with the resulting products of the reaction
being carbon monoxide, iron, and biliverdin (1). Biliverdin is
converted to bilirubin by a ubiquitous cytosolic enzyme biliverdin
reductase (2). HO exists in two forms as products of distinct genes:
HO-2 (36 kDa) is constitutive, and HO-1 (32 kDa) is inducible. Both
HO-2 and an inducible HO-1 have been identified in rat pancreatic
islets (3, 4, 5), as well as other tissues (6). HO-1 expression increases
in response to heme and stressors such as UV radiation and oxidative
stress, as well as endotoxin, hormones, and heavy metals (6). HO-1
induction may protect cells by reducing heme levels that catalyze
oxygen radical reactions and elevating bilirubin, which has antioxidant
properties (1). Bilirubin inhibits autoxidation or
peroxyl-radical-induced oxidation of unsaturated fatty acids,
apparently through peroxyl radical-trapping antioxidant abilities (7, 8). In addition, bilirubin scavenges and quenches toxic singlet oxygen
(9). The expression of HO-1 is regulated by the family of AP-1
transcription factors, among others, and the expression and DNA binding
activity of c-Fos and c-Jun are stimulated by prooxidants such as heavy
metals, hydrogen peroxide, and UV-irradiation (10, 11).
Pancreatic islets respond to stress through the induction and
activation of several stress-activated proteins. Interleukin-1ß
(IL-1ß) induces an inflammatory response in pancreatic islets,
characterized by increases in inducible nitric oxide synthase (iNOS)
levels and increased nitric oxide (NO)/nitrite levels (12, 13, 14, 15). IL-1ß
and heat shock increase expression of hsp70 (16, 17), as well as HO-1
(3, 18). A protective effect of heat shock on islet cells may be
associated with reduced lysis from NO, reactive oxygen intermediates,
and streptozotocin (17); but the response is nonspecific because many
hsp respond to this stimulus. On the other hand, liposomal delivery of
hsp70 into islet cells protected the cells from IL-1ß effects on
insulin secretion (19), suggesting that heightened levels of specific
hsp can protect ß-cells from inhibitory effects of the cytokine.
Hemin, which increases HO-1, has also been found to partly counteract
the IL-1ß inhibition of insulin release and to protect against
IL-1ß-induced inhibition of aconitase activity and glucose oxidation
(18), perhaps through antioxidant mechanisms. However, hemin has also
been reported to increase insulin and glucagon secretion from normal
rat islets (4). The present study investigates the potential for a
heavy metal to induce the synthesis of HO-1 and affect pancreatic
ß-cell responses to IL-1ß.
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Materials and Methods
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Materials
D-[U-14C]glucose (250360 mCi/mmol) was from
American Radiolabeled Chemicals (St. Louis, MO).
[125I]Insulin (human) was from New England Nuclear-DuPont
(Wilmington, DE). CMRL-1066 medium was from Life Technologies
(Grand Island, NY). Recombinant human IL-1ß was from R&D Systems
(Minneapolis, MN); ED50 in cell proliferation assay is
510 pg/ml. NG-monomethyl-L-arginine (NMMA)
was purchased from Calbiochem (San Diego, CA). Rat insulin for RIA
standard was a gift from Eli Lilly Co. (Indianapolis, IN). Antisera to
HO-1 and hsp70 was from Stressgen Biotechnologies Corp. (Victoria,
British Columbia). Kodak AR-10 x-ray film was from Eastman Kodak
Co. (Rochester, NY). All other reagents were from commercially
available sources.
Tissue isolation/culture
Isolated pancreatic islets were prepared from male rats and were
cultured for 20 h in CMRL-1066 medium containing 5.5
mM glucose, as described previously (20). Other agents
present during culture are specified in the text. All animal procedures
were approved by the Institutional Animal Care and Use Committee. When
sodium nitroprusside (SNP) was used to generate nitric oxide, cyanide
ions were inactivated by rhodanese (1.3 U) and sodium thiosulfate (25
µM) (21).
ßHC9 insulinoma cells, from an established line derived from
hyperplastic pancreatic islets of transgenic mice harboring SV40 large
T-antigen in ß-cells (22), were a gift from Dr. D. Hanahan. The cells
were cultured in complete DMEM medium, deficient in pyruvate and
containing 10% bovine FCS, penicillin (100 U/ml), and streptomycin
(100 µg/ml), at 5% CO2-95% air, 35 C.
Glucose oxidation
Glucose oxidation was determined by quantitation of picomoles of
glucose oxidized to 14CO2, based upon the
specific activity of [U-14C]glucose (17 mM),
as described previously (23).
Insulin release
Isolated islets (10/sample) were cultured 20 h in CMRL-1066
medium in the absence or presence of IL-1ß (1 ng/ml) and other
agents, as indicated in the text. Cultured islets were subsequently
washed to remove culture medium, serum, and experimental agents. Washed
islets were preincubated for 1 h in Krebs Ringer bicarbonate (KRB)
buffer (pH 7.4), containing 5.5 mM glucose, 0.01% BSA, and
HEPES (16 mM) but lacking IL-1ß or the other agents
present during the overnight culture, as described previously (23).
After preincubation, the islets were placed in fresh KRB buffer, and an
aliquot was removed to determine zero-time insulin levels. Islets were
incubated at 5.5 or 17 mM glucose for 60 min, after which
an aliquot of the incubation buffer was removed to determine insulin
release. Insulin was quantitated by RIA, and zero-time insulin levels
were subtracted from 60 min values. Insulin in culture medium was also
quantitated after the overnight culture. Total islet insulin content is
the amount of insulin extracted from islets, using ethanol (70%) in
HCl (1 N), plus the insulin released during static incubation.
Nitrite measurements
NO synthesis was estimated by the accumulation of total nitrate
and nitrite in culture medium of islets after an 18-h culture, as
described previously (23).
Western blot analysis
Isolated islets were cultured, as described above, and sonicated
in deionized water (0.1 ml) containing leupeptin (5 µg/ml), aprotinin
(76 µg/ml), and pepstatin (1 µg/ml), at 4 C. Islet protein levels
were determined by Bio-Rad protein assay using BSA as standard. The
remaining islet protein was precipitated using a 10x volume of
ice-cold acetone and microcentrifugation at 14,000 rpm for 5 min;
protein recovery was 94% using BSA as standard. The protein was
resuspended in SDS sample mix (0.062 M Tris-HCl, 1%
ß-mercaptoethanol, and 2% SDS) containing protease inhibitors, as
specified above, and boiled for 5 min. Proteins were separated by
SDS/15% PAGE (24). Equal amounts of protein per sample were used in
each experiment. Proteins were electrophoretically transferred to
nitrocellulose membranes and reacted with rabbit antirat HO-1 (1:1250
dilution) or antimouse hsp70 (1:500 dilution), followed by horseradish
peroxidase-conjugated goat antirabbit or antimouse IgG. Detection of
HO-1 was by the enhanced chemiluminescence method and Kodak AR-10 X-ray
film exposure. Each experimental determination was repeated at
least two or three times. Densitometric analysis of each band on
Western blot was analyzed by Molecular Analyst software (Bio-Rad
Laboratories, Hercules, CA). The data for each experiment were
normalized to control values by subtracting the image density of
control HO-1 levels from each experimental sample for quantitative
analysis. Values for densitometric analysis are expressed as relative
density units (RDU).
Heme oxygenase (HO) activity
Total HO activity was quantitated by the generation of bilirubin
from heme in cell homogenates, essentially as described previously
(25). Treated and untreated ßHC9 cells were incubated for 18 h;
and then the cells were collected, washed with PBS, and suspended in
MgCl2 (2 mM) phosphate (100 mM)
buffer (pH 7.4). The cells were frozen and thawed three times,
sonicated, and centrifuged at 5000 rpm for 5 min in a microfuge at 4 C.
An aliquot of the supernatant (0.30.4 mg protein) was added to the
NADPH-generating system (0.4 ml) containing NADPH (0.8 mM),
glucose-6-phosphate (2 mM), glucose-6-phosphate
dehydrogenase (0.2 U), potassium phosphate buffer (100 mM,
pH 7.4), hemin (10 µM), and 2 mg protein from rat liver
(35,000 rpm supernatant fraction) as a source of biliverdin reductase,
and allowed to incubate for 2 h at 37 C in amber tubes. The
reaction was stopped, and bilirubin was extracted by addition of 0.8 ml
chloroform; the aqueous layer was extracted twice with additional
chloroform. The bilirubin extract was dried and resuspended in 0.5 ml
chloroform for determination of bilirubin by the difference in
absorption at 464 nm and 530 nm. Readings for samples, prepared in the
absence of cell homogenate (blank), were subtracted from all other
values prepared in duplicate. HO activity is expressed as pmol
bilirubin produced/mg protein·2 h.
Determination of zinc-protoporphyrin IX (ZnPP) uptake by
cells
ßHC9 cells were cultured 20 h with ZnPP (10
µM). Then, the cells were collected, washed with PBS
three times, and resuspended in formic acid (88%), as described
previously (25). The spectrophotometric absorbance was read at 407 nm,
and cell extract absorbance was compared with ZnPP standard to
quantitate uptake.
Statistical analysis
The data are presented as the mean ± SE and
were analyzed by one-way ANOVA combined with the post hoc
Student/Newman-Keuls multiple-comparison test; P <
0.05 was accepted as significant.
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Results
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Cobalt effects on islet HO-1
In freshly isolated islets, HO-1 levels were not detectable on
immunoblot. However, after culture for 20 h at a basal
concentration of glucose (5.5 mM), islet HO-1 levels were
detectable (Fig. 1A
). Culture of rat
islets has been previously reported to increase HO expression (5),
perhaps through accumulation of glucagon (6) or factors present in the
culture medium/serum. Islet culture with IL-1ß also induced a small
increase in HO-1 levels, which were slightly but consistently above
control values (Figs. 1A
and 2
). The
presence of cobalt chloride (CoCl2) during islet
culture induced a high level of expression of HO-1, which was
concentration-dependent from 1100 µM (Figs. 1B
and 2
).
In contrast, the presence of similar concentrations of nickel chloride
(NiCl2) in the islet culture did not induce comparable
changes in HO-1 levels, compared with CoCl2 (Fig. 1A
).
CoCl2, in combination with IL-1ß, also enhanced HO-1
levels above those observed with the cytokine alone (Figs. 1A
and 2
),
whereas NiCl2 did not affect IL-1ß-induced HO-1 levels
(data not shown). However, islet HO-1 levels in the presence of IL-1ß
and CoCl2 (10 µM) were significantly lower
than in the presence of CoCl2 alone, perhaps because of
cytokine effects on protein synthesis. A time-course analysis showed
that CoCl2 induced an increase in islet HO-1 levels within
8 h, and IL-1ß induced an increase after 18 h of culture
(Fig. 3
, A and B). When both
CoCl2 and IL-1ß were present together in islet culture,
HO-1 levels were increased within 4 h, and much higher levels were
observed within 8 h, compared with islets treated with IL-1ß
alone (Fig. 3C
). In comparison with HO-1, islet hsp70 levels did not
seem to be affected during islet culture with CoCl2 or with
the concentration of IL-1ß used in this study (Fig. 3
, A and B).

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Figure 1. Immunoblot analysis of HO-1 expression in isolated
islets. Islets (A and B) or ßHC9 cells (C) were cultured 20 h in
the presence and/or absence of IL-1ß (1 ng/ml), CoCl2 (1,
10, or 100 µM; Co1, Co10, or Co100, respectively),
NiCl2 (10 or 100 µM; Ni10 or Ni100,
respectively), as indicated. Islet or cell proteins were separated by
SDS/15% PAGE, and HO-1 (32 kDa) was detected by immunoblot. Results
are for three representative experiments.
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Figure 2. Islet HO-1 expression levels. Islets were cultured
20 h in the absence (basal) or presence of IL-1ß (1 ng/ml),
NMMA, CoCl2 (Co), or CoPP at the concentrations
(µM) indicated. HO-1 expression on immunoblot was
determined in RDU, and data were normalized by subtraction of basal
values in paired groups. Values are the mean ± SE for
normalized RDU in three independent experiments. Significant
differences were determined by one-way ANOVA and Student/Newman-Keuls
multiple-comparison test. *, P < 0.05
vs. IL-1ß-treated control islets.
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Figure 3. Islet time-dependent HO-1 and hsp70 expression
levels. Islets were cultured for up to 18 h in the absence
(control) or presence of CoCl2 (10 µM) (Co10)
and/or IL-1ß (1 ng/ml), as indicated. HO-1 (32 kDa) and hsp70 (70
kDa) levels were determined by immunoblot with 5 µg islet protein per
lane. Results are representative of three experiments.
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Culture of islets with the NO-generating compound, SNP, in the presence
of rhodanese and Na2S2O3, to
scavenge the cyanide component of the SNP (21), also increased HO-1
expression. The increase in HO-1, in response to SNP, was both
concentration- and time-dependent (Fig. 4
, A and B). The maximum concentration of
SNP inducing HO-1 expression was 100 µM, and a higher
concentration (250 µM) seemed to be less effective,
perhaps because of toxic effects on the cells. To determine whether NO
production mediated the effect of IL-1ß on HO-1 expression, an
inhibitor of nitric oxide synthase, NMMA, was included during the islet
culture with IL-1ß. Western blot analysis revealed that, whereas
IL-1ß (1 ng/ml) increased islet HO-1 levels above control, islets
cultured with NMMA (1 mM) in the presence of IL-1ß had
significantly lower HO-1 levels, which were similar to levels in islets
treated with NMMA alone (Fig. 2
).

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Figure 4. Effects of SNP on HO-1 expression levels. A,
Islets were cultured for 20 h in the absence (control) or presence
of various concentrations of SNP, as indicated; B, time-dependent
changes in HO-1 were determined in islets cultured for up to 18 h
in the absence (control) or presence of SNP (100 µM)
(SNP100). HO-1 (32 kDa) levels were determined by immunoblot with 5
µg protein per lane. Results are representative of three
experiments.
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Cobalt effects on islet insulin release
During the 20-h islet culture, insulin release into culture medium
in the presence of 1 µM CoCl2 (30 ± 4
µU insulin/ml·islet) was not different from basal levels (36
± 7 µU/ml·islet) (P > 0.05), whereas insulin
release in the presence of 10 µM CoCl2
(64 ± 11 µU/ml/islet) was slightly higher than basal values
(P < 0.01). Culture of islets with CoCl2
at 10 µM, but not 1 µM, also increased
control insulin release, to approximately three times basal values,
during a 1-h incubation in KRB buffer containing 5.5 mM
glucose (Fig. 5A
). The increase in basal
insulin release in islets cultured with 10 µM
CoCl2 was metabolically regulated, because release was
completely inhibited in cells at 4 C and was also calcium-dependent in
studies performed in calcium-free KRB buffer in the presence of EGTA
(10 µM) (data not shown). NiCl2 (10
µM) did not increase basal insulin release (Fig. 5A
).

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Figure 5. Insulin release from islets. Islets were cultured
for 20 h at 5.5 mM glucose in the absence (-) or
presence (+) of IL-1ß, CoCl2 (1 or 10 µM)
(Co, Co1 or Co10), or NiCl2 (10 µM) (Ni or
Ni10), as indicated. After culture, the islets were washed and
incubated in KRB buffer in the presence of (A) 5.5 mM
glucose or (B) 17 mM glucose (G17) with no other additions.
Insulin release was determined after a 60-min incubation (A and B).
Insulin release values (µU insulin released/ml·[10 islets) are the
mean ± SE for the number of independent experiments
shown at the base of each bar (for Ni10,
n = 3). Significant differences were determined by one-way ANOVA
and Student/Newman-Keuls multiple-comparison test. A, *,
P < 0.05 vs. basal values; B, *,
P < 0.01 vs. glucose-stimulated
control values.
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Total insulin content of the islets after culture with IL-1ß (1
ng/ml), or with CoCl2 (110 µM) in the
presence or absence of IL-1ß, was not significantly different
(P > 0.05) from control islets (483 ± 45 µU
insulin/islet), although a higher concentration of CoCl2
(100 µM) significantly reduced (P <
0.05) total islet insulin content in the presence (330 ± 36 µU
insulin/islet) and absence (294 ± 37 µU insulin/islet) of
IL-1ß (1 ng/ml), compared with control. Concentrations of
CoCl2 higher than 10 µM were not included in
these studies because of the reduced insulin content and likelihood of
interference with calcium fluxes in the ß-cell (26).
IL-1ß characteristically inhibited glucose-stimulated insulin release
from islets incubated with the cytokine for 20 h (Fig. 5B
).
However, when CoCl2 was included in the 20-h culture with
IL-1ß, then subsequent glucose-stimulated insulin release responses
were higher than observed in islets exposed only to IL-1ß and glucose
(Fig. 5B
). The protective effect of CoCl2 was
concentration-dependent, with as little as 1 µM
CoCl2 affording protection of the islets from the
inhibitory effect of IL-1ß on glucose-stimulated insulin release.
Culture of islets with CoCl2 (10 µM) alone
did not affect glucose-stimulated insulin release (Fig. 5B
). Culture of
islets with NiCl2 (10 µM), in the presence or
absence of IL-1ß, did not significantly affect glucose-stimulated
insulin release, compared with control values (Fig. 5B
).
Cobalt effects on glucose metabolism
Culture of islets with IL-1ß reduced glucose oxidation by about
40% (Fig. 6
). Culture of islets with
CoCl2 (10 µM) alone did not affect glucose
oxidation at 17 mM glucose (Fig. 6
) or 5.5 mM
glucose (data not shown). However, the presence of CoCl2
prevented the reduction in glucose oxidation observed with IL-1ß
(Fig. 6
). The presence of NiCl2 (10 µM) did
not affect glucose oxidation, and NiCl2 did not protect the
islets from the inhibitory effects of IL-1ß (Fig. 6
).

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Figure 6. Islet glucose oxidation. Islets were cultured for
20 h in the absence (control) or presence of IL-1ß (1 ng/ml),
CoCl2 (10 µM) (Co10), or NiCl2
(10 µM) (Ni10). After culture, the islets were incubated
in KRB buffer containing D-[U-14C]glucose (17
mM) and the same agents as were present during culture.
Glucose oxidation was determined from the production of
14CO2 during a 90-min incubation. Values are
the mean ± SE for the number of independent
determinations shown at the base of each
bar. Significant differences were determined by one-way
ANOVA and Student/Newman-Keuls multiple-comparison test. *,
P < 0.01 vs. control.
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Effects of protoporphyrins on cobalt-induced responses
ZnPP inhibits competitively HO-1 activity (6). To determine
whether HO-1 activity mediated the response to CoCl2,
islets were cultured in the presence of ZnPP. In islets cultured with
ZnPP (1100 µM), there seemed to be no effect of ZnPP
treatment on insulin release in response to a maximal secretagogic
concentration of glucose (17 mM), except that 10
µM ZnPP had a small potentiating effect (Fig. 7A
). ZnPP (10 µM) did not
affect basal insulin release at 5.5 mM glucose in either
control islets, IL-1ß-treated islets, or IL-1ß plus
CoCl2 (10 µm)-treated islets (data not shown). Glucose
(17 mM)-stimulated insulin release in IL-1ß-treated
islets was significantly inhibited and was not affected by the presence
of ZnPP (10 µM) (Fig. 7B
). However, the inhibitory
response to IL-1ß was completely reversed by the presence of
CoCl2 during culture (Fig. 7B
). In contrast, ZnPP (10100
µM) reversed the protective effect of CoCl2
in IL-1ß-treated islets on glucose-stimulated insulin release (Fig. 7B
).

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Figure 7. Insulin release in the presence of ZnPP. Islets
were cultured for 20 h in the absence (-) or presence (+) of ZnPP
(1100 µM), IL-1ß, or CoCl2 (10
µM) (Co10), as indicated. After culture, the islets were
washed and incubated (60 min) in KRB buffer containing 17
mM glucose (G17), for determination of insulin release
(µU insulin released/ml·10 islets). Values are the mean ±
SE for the number of independent determinations shown at
the base of each bar. Significant
differences were determined by one-way ANOVA and Student/Newman-Keuls
multiple-comparison test. *, P < 0.05
vs. G17 control.
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Hemin has also been reported to increase HO expression and protect
against IL-ß effects in islets (18). In the present study, culture of
islets with hemin (0.1 mM) for 18 h did not change
(P > 0.05) the basal insulin release response
(135 ± 69 µU/ml·10 islets), but it did increase insulin
release in response to 17 mM glucose in IL-1ß (1
ng/ml)-cultured islets (1056 ± 148 µU/ml/10 islets)
(P < 0.001), compared with release from islets
cultured with IL-1ß without hemin (518 ± 53 µU/ml/10 islets).
The inclusion of ZnPP (50 µM) with hemin (0.1
mM) and IL-1ß (1 ng/ml) during the 18-h islet culture
antagonized the hemin protective response, such that glucose (17
mM)-stimulated insulin release values (658 ± 97
µU/ml·10 islets) were not significantly different
(P > 0.05) from values in islets cultured with the
cytokine alone.
ZnPP did not affect expression of HO-1 in control islets or in islets
treated with CoCl2 and IL-1ß (data not shown). Studies
using ßHC9 cells showed that ZnPP (10 µM) accumulated
in cells (0.31 ± 0.04 nmol ZnPP/106 cells) after
20 h culture.
In contrast to the inhibitory effect of ZnPP, cobalt-protoporphyrin IX
(CoPP) is reported to stimulate HO-1 activity (6). In islets cultured
with CoPP, there was a concentration-dependent (10100
µM) increase in HO-1 expression, which was antagonized at
the lower concentration by the presence of IL-1ß (Fig. 2
). CoPP
(10100 µM) did not affect basal insulin release in
control, IL-1ß-treated islets, or IL-1ß plus
CoCl2-treated islets (Fig. 8A
). Similarly, in CoPP (10100
µM)-treated islets, glucose-stimulated insulin release
was not affected (Fig. 8B
). However, when CoPP was included during
culture of islets with IL-1ß, then glucose-stimulated insulin release
was maintained at control levels observed in the absence of cytokine
(Fig. 8B
). The presence of CoPP with CoCl2 and IL-1ß
during islet culture also preserved glucose-stimulated insulin
secretory responses, which were comparable with control
glucose-stimulated values in the presence or absence of
CoCl2 (Fig. 8B
).

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Figure 8. CoPP effects on insulin release. Islets were
cultured 20 h in the absence (-) or presence (+) of CoPP (10 or
100 µM), CoCl2 (10 µM) (Co10),
and/or IL-1ß (1 ng/ml), as indicated. After culture, the islets were
washed and incubated in KRB buffer in the presence of (A) 5.5
mM glucose, or (B) 17 mM glucose (G17) without
other additions. Insulin release was determined after 60 min. Values
for insulin release (µU insulin/ml·10 islets) are the mean ±
SE for four independent determinations per treatment.
Significant differences were determined by one-way ANOVA and
Student/Newman-Keuls multiple-comparison test. A, *,
P < 0.001 vs. values in the absence
of Co10; B, *, P < 0.01 vs. all
other values.
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HO activity
To evaluate responses in HO activity, ßHC9 insulinoma cells were
studied to generate sufficient bilirubin product for quantitation.
ßHC9 cells responded to CoCl2 and IL-1ß with increases
in HO-1 expression levels (Fig. 1C
). When ßHC9 cells were cultured
18 h in the presence of IL-1ß, however, HO activity in cell
homogenates was not increased, relative to control values (Fig. 9A
). In contrast, CoCl2 and
CoPP increased HO activity, and HO activity after treatment with CoPP
and IL-1ß was significantly higher than activity in cells treated
with IL-1ß alone (Fig. 9A
). ZnPP markedly inhibited HO activity in
control and CoCl2-treated cells (Fig. 9A
).

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Figure 9. HO activity in ßHC9 cells. A, ßHC9 cells were
cultured for 20 h in the absence (basal) or presence of IL-1ß (1
ng/ml), CoPP (10 µM), ZnPP (50 µM), or
CoCl2 (10 µM) (Co10), as indicated; B, ßHC9
cells were cultured for 20 h with IL-1ß (1 ng/ml), washed, and
homogenized. Additions to the homogenate are shown
beneath the horizontal bar: CoPP (10
µM), ZnPP (50 µM), or CoCl2 (10
µM) (Co10). HO activity was determined
spectrophotometrically as the production of bilirubin. Values are the
mean ± SE for three or four independent
determinations. Significant differences were determined by one-way
ANOVA and Student/Newman-Keuls multiple-comparison test. *,
P < 0.01 vs. basal; ,
P < 0.01 vs. IL-1ß-treated
control.
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Cell homogenates were also studied to determine direct effects of
agents on HO activity. When cells were cultured 18 h with IL-1ß,
and then CoPP was added to the cell homogenate, there was an almost
3-fold increase in HO activity (Fig. 9B
). When added directly to the
cell homogenate, ZnPP inhibited HO activity, whereas CoCl2
did not affect HO activity, compared with control (Fig. 9B
).
Cobalt effects on nitrite production
Islets cultured with IL-1ß showed a marked increase in nitrite
production (Fig. 10
). Although
CoCl2 (10 µM) did not affect basal levels of
nitrite, the inclusion of CoCl2 with IL-1ß during islet
culture significantly reduced islet nitrite production (Fig. 10
).

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|
Figure 10. Effects of CoCl2 on islet nitrite
production. Islets were cultured 20 h in the absence (basal) or
presence of IL-1ß (1 ng/ml) and/or CoCl2 (10
µM) (Co10). Total nitrite levels (pmol) were determined
in culture medium and adjusted for micrograms of islet protein per
sample. Values are the mean ± SE for the number of
determinations shown at the base of each
bar. Significant differences were determined by one-way
ANOVA and Student/Newman-Keuls multiple-comparison test.
|
|
 |
Discussion
|
|---|
This is the first study to demonstrate that treatment with cobalt
antagonizes the effects of IL-1ß in isolated islets. IL-1ß has been
characterized as inducing iNOS and apoptosis, increasing levels of NO,
nitrosylating key metabolic enzymes, and inhibiting insulin release in
pancreatic islets cultured in vitro or in insulinoma cells
(13, 23, 27, 28, 29, 30). iNOS increases in islets of diabetic mice (31) and
may play a role in islet ß-cell destruction in diabetes mellitus
(32). Agents previously demonstrated to antagonize the IL-1ß-induced
inhibition of insulin release include inhibitors of iNOS (12, 27, 33)
and nuclear factor-
B (34). In the present study, CoCl2
also protected against the effects of IL-1ß in islets, and one major
pathway associated with cobalt exposure of cells is induction of HO-1.
It has been previously reported that CoCl2 effects on cells
do not include induction of the expression of the hsp70 gene (35), and
our results confirm that changes in hsp70 do not parallel changes in
HO-1 in response to CoCl2 or IL-1ß at the concentrations
used in this study. It was previously reported that IL-1ß increased
hsp70 and HO-1 levels in isolated ß-cells after 24 h culture
(36). In the present study, hsp70 was also clearly expressed in islets,
although it was not evident that IL-1ß or CoCl2 enhanced
those levels. The high basal levels of hsp70 in the present study, as
also reported for isolated ß-cells (36), may have minimized the
changes detectable with the stimuli, but the results suggest that HO-1
responses and effects are independent of changes in ß-cell hsp70
levels. Co2+ can also antagonize calcium fluxes in cells,
but this occurs at high (millimolar) concentrations of the cation (26)
and results in inhibition, rather than stimulation, of hormone release.
Because calcium influx is a major component of glucose-stimulated
insulin release (37) and secretory responses were calcium-dependent in
the present study, it does not seem that the protective effects of
CoCl2 during IL-1ß exposure can be attributed to reduced
calcium fluxes.
HO is found in pancreatic islets as both the inducible HO-1 and
constitutive HO-2 enzymes (3, 4, 5). The increase in HO-1 in islets during
short-term culture confirms the observation that rat islet HO increased
dramatically, compared with human islet HO, during 58 days culture
(5). A putative role for HO-2 in glucagon and insulin secretion has
been proposed, especially in regard to the generation of carbon
monoxide (4). In the present study, the increased basal insulin release
in islets treated with CoCl2 may be related to enhanced
HO-1 expression, because NiCl2 failed to mimic the HO-1
response or evoke insulin secretion in this study. Whether or not
carbon monoxide mediates HO-1 and CoCl2 effects on insulin
secretion, as suggested by other investigators regarding HO-2 (4), is
not known.
Exposure of islets to CoCl2 induced HO-1 expression in a
concentration- and time-dependent manner. Previous reports indicate
that HO-1 expression is increased within a few hours after a stimulus
is applied, although levels of HO-1 remain elevated for several days
(6, 38). In the present study, CoCl2 increased islet HO-1
levels within 4 h, and maximum expression was observed within
8 h; a similar but augmented response was observed when IL-1ß
was combined with CoCl2. The reduced expression level of
HO-1 in islets treated with IL-1ß and CoCl2vs. CoCl2 alone suggests that IL-1ß has
effects on protein biosynthesis. A similar inhibitory effect of IL-1ß
on low-concentration CoPP-induced HO-1 expression was observed.
However, a higher concentration of CoPP overcame the inhibitory effect
of IL-1ß, suggesting that islets retained their protein biosynthetic
capacity.
Treatment of islets with IL-1ß alone also enhanced HO-1 levels above
control to a small extent, in agreement with previous reports (18, 33, 36, 39). In islets, NO seems to mediate the HO-1 response to IL-1ß,
because HO-1 expression was increased in a time- and
concentration-dependent manner in response to the NO-generating agent
SNP, as reported for endothelial cells (25). Moreover, the inhibition
of iNOS by NMMA was associated with a reduction in HO-1 expression in
response to IL-1ß, supporting the hypothesis that NO mediates the
IL-1ß-induced increase in HO-1. Because NO increases free
intracellular heme (40), the increased HO-1 expression in response to
NO may be a response to protect cells from free heme through metabolism
to biliverdin and bilirubin. The question arises as to why
IL-1ß-induced increases in HO-1 are not protective against the
cytokine? One explanation may be that IL-1ß did not increase HO-1
levels until late after initial exposure to the cytokine, perhaps too
late to exert a protective effect. A second explanation may be that
although IL-1ß modestly increases HO-1 protein levels, the HO-1
activity may not parallel the change in expression. HO-1 activity is
inhibited by NO and PG E2 (41, 42), both of which are
induced during cell exposure to cytokines in islets and other cell
types (43, 44). Thus, impaired HO-1 activity may not be sufficient to
protect the ß-cell from the toxic effects of IL-1ß. The results
show that CoCl2 treatment markedly reduces the time for
expression of HO-1 and augments the HO-1 levels in IL-1ß-treated
islets, compared with islets treated with IL-1ß alone, which may
contribute to the protective response observed with CoCl2.
The failure of NiCl2 to induce HO-1 in islets or to protect
the secretory response from the effects of IL-1ß illustrates the
specificity of the Co2+ response. Although Ni2+
is a heavy metal, it is known that tissues differ greatly in their
responsivity to different metals, regarding HO-1 induction (40).
The specificity of the protective response of cells to
CoCl2 was demonstrated also in the maintenance of glucose
oxidation in IL-1ß-treated islets, whereas a similar concentration of
NiCl2 proved ineffective. IL-1ß has been reported
previously to inhibit glucose oxidation (23, 45, 46), apparently
because of generation of NO. Glucose-stimulated insulin release is
dependent upon ATP production and regulation of ATP-sensitive
K+-channels, which regulate cell depolarization, calcium
influx through voltage-dependent calcium channels, and secretion (37).
NO causes ADP-ribosylation and nitrosylation of certain enzymes in the
glucose-oxidative pathway and mitochondrial enzymes (13, 40), in
addition to reducing glucokinase messenger RNA (mRNA) and protein
levels (46). The protective actions of CoCl2 on insulin
release may be mediated, in part, through preservation of glucose
metabolism and energy production as a result of the inhibition of iNOS
activity and reduced NO production. CoCl2-treated islets
showed a significant reduction in total nitrite levels, which may be
protective against the effects of IL-1ß. CoCl2 effects on
nitrite production may be mediated through changes in iNOS activity,
because one of the products of HO-1, carbon monoxide, inhibits iNOS by
binding to its heme moiety (47, 48). HO-1 induction and increased heme
metabolism may also limit iNOS activity caused by heme restriction.
Because NO is a potent stimulator of soluble guanylyl cyclase, it does
not seem likely that any additional cyclic GMP formed as a
result of carbon monoxide stimulation of guanylyl cyclase (49, 50)
contributed to insulin release.
Additional evidence for the involvement of HO-1 in the
CoCl2 effect on glucose-stimulated insulin secretion in
IL-1ß-treated islets was the concentration-dependent reversal of the
protective effect by an inhibitor of HO-1, ZnPP (6). Because
ZnPP-treatment did not affect glucose-stimulated insulin release in
cells treated or not with IL-1ß, and ZnPP did not affect HO-1
expression, the antagonistic response would seem to be modulated
through HO-1 activity changes. Previously, ZnPP was reported to inhibit
HO-2 activity and carbon monoxide production in rat islets and to
inhibit secretory responses induced by glucose and hemin, a substrate
and inducer of HO (4). After overnight culture of islets with ZnPP, we
failed to observe the small inhibition of glucose-stimulated insulin
release that was reported after acute treatment of freshly isolated
islets with ZnPP (4), although the reason for this is not evident.
However, the present results confirm that hemin protects against the
effects of IL-1ß on insulin release (18) and extend the observations
to include ZnPP antagonism of the hemin protective response, probably
caused by inhibition of HO activity.
Selectivity of the ZnPP response in the present study was demonstrated
when CoPP, which increased HO-1 expression in islets, in agreement with
the powerful inducer effects reported for other tissues (6), did not
antagonize the CoCl2 response. On the contrary, CoPP
increased the expression of HO-1 in islets and mimicked the islet
response to CoCl2, in terms of protecting the cells from
the inhibitory effects of IL-1ß. The ability of CoCl2 to
induce HO-1 in rat liver requires conversion of Co2+ into
CoPP (51); however, it is not known whether this conversion is
responsible for CoCl2 HO-1-inducing activity in islets.
Although certain of the metal-protoporphyrin inhibitors are selective
for HO-1, they can also inhibit iNOS (52). However, if ZnPP inhibited
iNOS in islets, then it would be expected that the islets would be
protected against the effects of IL-1ß, and this did not occur.
However, a inhibitory effect of CoPP on iNOS cannot be ruled out, and
the interference by CoPP in the Greiss reaction for nitrite
determination prevented assessment of this possibility. It is also
possible that Co2+ or CoPP interfere with NO actions in
cells or modify IL-1ß responses. ZnPP has been reported to reduce
IL-1ß responses (53). However, the concentration of ZnPP chosen in
the present study did not significantly affect IL-1ß responses in the
absence of inducers of HO-1, suggesting the agent did not directly
affect the cytokine response.
One of the inconsistencies in our results, regarding the hypothesis
that HO-1 induction mediates protective responses against IL-1ß in
islets, was the observation that HO-1 levels at a low concentration of
CoPP in IL-1ß-treated islets was similar to levels in islets treated
with IL-1ß alone, and yet insulin release responses were protected.
Investigation of the HO activity in ßHC9 cells revealed a possible
explanation. As expected, HO activity increased in ßHC9 cells
cultured with CoCl2 or CoPP, and the activity was inhibited
with ZnPP present during culture. And, although IL-1ß increased HO-1
expression in ßHC9 cells, HO activity was not different from basal,
suggesting that an endogenous inhibitor of HO activity may be produced
in ß-cells. When HO activity was assessed in homogenates from cells
cultured with IL-1ß, a direct stimulatory effect of CoPP on HO was
observed. CoCl2 did not mimic the direct effect of CoPP to
activate the enzyme, and addition of ZnPP inhibited the HO activity.
Thus, a possible explanation for the ability of low levels of CoPP to
protect the ß-cells from the effects of IL-1ß is that CoPP directly
activated HO activity, even when expression levels of HO were
relatively low. In addition, CoPP activation of HO-2 in islets may
contribute to increased insulin release.
In summary, these results suggest that the induction and/or activation
of HO, in response to Co2+, CoPP, or hemin in islet cells,
provides a protective mechanism against the actions of IL-1ß and
preserves the glucose-stimulated insulin secretory response and glucose
metabolism. The mechanism by which CoCl2 induces HO-1
expression is not known, although studies have described effects of
oxidant stress (54), CoPP generation (51), and activation of distal
response elements in HO-1 gene regulation (10) as mediating
Co2+ responses. Moreover, the results indicate that
inhibition of iNOS activity, perhaps mediated through the
HO-1-generated product carbon monoxide, plays a role in the protective
effect of Co2+ on cytokine-treated islet cells. It is also
possible that the other products of HO activity, the antioxidant
bilirubin (1), or the iron produced that can consume NO (55), have a
protective role in the actions of Co2+ and HO-1
expression.
 |
Acknowledgments
|
|---|
The expert technical assistance of Jill Platten is
appreciated.
 |
Footnotes
|
|---|
1 This work was supported by NIH Grant DK-25705 (to S.G.L.). 
2 Portions of this research were completed in partial fulfillment of
the degree of Doctor of Philosophy. 
Received April 6, 1998.
 |
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